Clinical nursing worksheet with answers

What is the main purpose of a surgical wound drain?

1. ATo keep the wound open permanently so that it can be cleaned
2. BTo give antibiotics directly into the wound bed
3. CTo remove blood or fluid so it does not collect in the wound
4. DTo measure the patient's temperature

Which blood test is most commonly used to confirm damage to the heart muscle in a suspected heart attack?

1. AD-dimer
2. BBilirubin
3. CTroponin
4. DAmylase

Drugs whose names end in "-olol", such as bisoprolol, belong to which class?

1. ABeta-blockers
2. BACE inhibitors
3. CStatins
4. DCalcium channel blockers

After a total hip replacement through a posterior approach, which movement should the patient usually avoid in the early weeks?

1. ADoing gentle ankle exercises
2. BBending the hip beyond 90 degrees or crossing the legs
3. CWalking short distances with a frame and a physiotherapist
4. DLying on their back

Which observation is most important after giving a patient a first dose of a new antibiotic intravenously?

1. AHow much they walk that day
2. BSigns of an allergic reaction such as rash, wheeze or swelling
3. CTheir appetite at the next meal
4. DWhether their hair loss increases

What is the best way to protect the heels of a bed-bound patient from pressure damage?

1. AMassage the heels firmly several times a day to help circulation
2. BRest the heels on a rolled-up towel
3. CApply a tight bandage to the heels
4. DOffload the heels so they do not touch the mattress

A patient with several days of vomiting and diarrhoea has low blood pressure, low urine output and a rising creatinine. Which description fits best?

1. APre-renal acute kidney injury from poor perfusion, treated by restoring fluid volume
2. BPost-renal acute kidney injury from obstruction, treated with a catheter
3. CChronic kidney disease, treated with long-term dialysis three times a week
4. DIntrinsic kidney injury from glomerulonephritis, treated with high-dose steroids

A nurse teaches a patient with hypertension about their medicines. Which statement shows a need for further teaching?

1. A"I'll keep taking my tablets even if I feel well."
2. B"I'll get up slowly from sitting."
3. C"I'll stop my tablets once my readings are normal."
4. D"I'll have my blood pressure checked regularly."